| Medicina Audaz, Inc. | |
|
Ave. Kennedy # 18 Carr. # 2 Km 141.10 Hospital Buen Samaritano (1st Floor) Aguadilla PR 00603-0000 | |
| (787) 819-1215 | |
| (787) 819-1215 |
| Full Name | Medicina Audaz, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | Ave. Kennedy # 18 Carr. # 2 Km 141.10, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Luis Acevedo (PRESIDENT) |
| Authorized Official Contact | 7878191215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicina Audaz, Inc. Po Box 1868 Victoria Station Aguadilla PR 00605-1868 Ph: (787) 819-1215 | Medicina Audaz, Inc. Ave. Kennedy # 18 Carr. # 2 Km 141.10 Hospital Buen Samaritano (1st Floor) Aguadilla PR 00603-0000 Ph: (787) 819-1215 |
| NPI Number | 1750434346 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750434346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 125152 (Puerto Rico) | Primary |
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